Anecdotal, and I avoid judging the merits of any company based on a single employee, but the only Accenture staff I know lives here in SE Asia and she's offshore labour. When I've talked to her, I found it interesting that she had great difficulty explaining what she does at Accenture. What I gather is that it does indeed involve a lot of PowerPoint slides, Excel spreadsheets, scheduling apps, and mostly "workflow" type productivity. I've never been able to find out if they actually make anything, but I suspect not.